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1.
ACS Nano ; 18(14): 10008-10018, 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38551183

RESUMO

Two-dimensional (2D) heterojunction nanomaterials offer exceptional physicochemical and catalytic properties, thanks to their special spatial electronic structure. However, synthesizing morphologically uniform 2D platinum (Pt)-based metallic nanomaterials with diverse crystalline phases remains a formidable challenge. In this study, we have achieved the successful synthesis of advanced 2D platinum-tellurium heterojunction nanosheet assemblies (Ptx-PtTe2 HJNSAs, x = 0, 1, 2), seamlessly integrating both trigonal PtTe2 (t-PtTe2) and cubic Pt (c-Pt) phases. By enabling efficient electron transport and leveraging the specific electron density present at the heterojunction, the Pt2-PtTe2 HJNSAs/C demonstrated exceptional formic acid oxidation reaction (FAOR) activity and stability. Specifically, the specific and mass activities reached 8.4 mA cm-2 and 6.1 A mgPt-1, which are 46.7 and 50.8 times higher than those of commercial Pt/C, respectively. Impressively, aberration-corrected high-angle annular dark field scanning transmission electron microscopy (AC-HAADF-STEM) revealed a closely packed arrangement of atomic layers and a coherent intergrowth heterogeneous structure. Density functional theory (DFT) calculations further indicated that rearrangement of electronic structure occurred on the surface of Pt2-PtTe2 HJNSAs resulting in a more favorable dehydrogenation pathway and excellent CO tolerance, beneficial for performance improvement. This work inspires the targeted exploration of Pt-based nanomaterials through 2D heterostructure design, leading to an important impact on fuel cell catalysis and beyond.

2.
J Mech Behav Biomed Mater ; 150: 106246, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38006795

RESUMO

The development of cost-effective, eco-friendly conductive hydrogels with excellent mechanical properties, self-healing capabilities, and non-toxicity holds immense significance in the realm of biosensors. The biosensors demonstrate promising applications in the fields of biomedical engineering and human motion detection. A unique double-network hydrogel was prepared through physical-chemical crosslinking using chitosan (CS), polyacrylic acid (AA), and sodium alginate (SA) as raw materials. The prepared double-network hydrogels exhibited exceptional mechanical properties, as well as self-healing and conductive capabilities. Polyacrylic acid as the first layer network, while chitosan and sodium alginate were incorporated to establish the second layer network through electrostatic interactions, thereby imparting self-healing and self-recovery properties. The hydrogel was subsequently immersed in the salt solution to induce network winding. The mechanical robustness of the hydrogel was significantly enhanced through synergistic coordination of covalent and non-covalent interactions. When the concentration of sodium alginate was 20 g/L, the double-network hydrogel exhibits enhanced mechanical properties, with a tensile fracture stress of up to 1.31 MPa and a strength of 4.17 MPa under 80% compressive deformation. Furthermore, the recovery rate of this double-network hydrogel reached an impressive 89.63% within a span of 30 min. After 24 h without any external forces, the self-healing rate reached 26.11%, demonstrating remarkable capabilities in terms of self-recovery and self-healing. Furthermore, this hydrogel exhibited consistent conductivity properties and was capable of detecting human finger movements. Hence, this study presents a novel approach for designing and synthesizing environmentally friendly conductive hydrogels for biosensors.


Assuntos
Quitosana , Humanos , Quitosana/química , Hidrogéis/química , Alginatos/química , Condutividade Elétrica , Movimento (Física)
3.
Small ; 20(23): e2307771, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38155151

RESUMO

Constructing quantum dot-scale metal sulfides with defects and strongly coupled with carbon is significant for advanced sodium-ion batteries (SIBs). Herein, Se substituted V3S4 quantum dots with anionic defects confined in nitrogen-doped carbon matrix (V3S4-xSex/NC) are fabricated. Introducing element Se into V3S4 crystal expands the interlayer distance of V3S4, and triggers anionic defects, which can facilitate Na+ diffusions and act as active sites for Na+ storage. Meanwhile, the quantum dots tightly encapsulated by conductive carbon framework improve the stability and conductivity of the electrode. Theoretical calculations also unveil that the presence of Se enhances the conductivity and Na+ adsorption ability of V3S4-xSex. These properties contribute to the V3S4-xSex/NC with high specific capacity of 447 mAh g-1 at 0.2 A g-1, and prominent rate and cyclic performance with 504 mAh g-1 after 1000 cycles at 10 A g-1. The sodium-ion hybrid capacitors (SIHCs) with V3S4-xSex/NC anode and activated carbon cathode can achieve high energy/power density (maximum 144 Wh kg-1/5960 W kg-1), capacity retention ratio of 71% after 4000 cycles at 2 A g-1. This work not only synthesizes V3S4-xSex/NC, but also provides a promising opportunity for designing quantum dots and utilizing defects to improve the electrochemical properties.

4.
Biomed Pharmacother ; 161: 114516, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36921535

RESUMO

Nociceptive signaling responses to painful stimuli are transmitted to the central nervous system (CNS) from the afferent nerves of the periphery through a series of neurotransmitters and associated signaling mechanisms. Electroacupuncture (EA) is a pain management strategy that is widely used, with clinical evidence suggesting that a frequency of 2-10 Hz is better able to suppress neuropathic pain in comparison to higher frequencies such as 100 Hz. While EA is widely recognized as a viable approach to alleviating neuralgia, the mechanistic basis underlying such analgesic activity remains poorly understood. The present review offers an overview of current research pertaining to the mechanisms whereby EA can alleviate neuropathic pain in the CNS, with a particular focus on the serotonin/norepinephrine, endogenous opioid, endogenous cannabinoid, amino acid neurotransmitter, and purinergic pathways. Moreover, the corresponding neurotransmitters, neuromodulatory compounds, neuropeptides, and associated receptors that shape these responses are discussed. Together, this review seeks to provide a robust foundation for further studies of the EA-mediated alleviation of neuropathic pain.


Assuntos
Eletroacupuntura , Neuralgia , Ratos , Animais , Humanos , Ratos Sprague-Dawley , Sistema Nervoso Central/metabolismo , Medula Espinal/metabolismo , Neuralgia/terapia , Neuralgia/metabolismo , Neurotransmissores/metabolismo
5.
Zhen Ci Yan Jiu ; 48(1): 102-6, 2023 Jan 25.
Artigo em Chinês | MEDLINE | ID: mdl-36734506

RESUMO

Many basic studies on acupuncture need to be carried out on experimental animals. However, the safety of acupuncture in experimental animals has been neglected for a long time. In the present paper, we make a discussion on the current situations, causes, its influence on research results and countermeasures of acupuncture safety events in experimental animals, so as to promote the safety evaluation of acupuncture in experimental animals and the standardized operation of acupuncture.


Assuntos
Terapia por Acupuntura , Acupuntura , Animais
6.
J Clin Med ; 12(1)2023 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-36615153

RESUMO

(1) Background: the indications for transcatheter closure of large patent ductus arteriosus (PDA) with severe pulmonary hypertension (PH) are still unclear, and scholars have not fully elucidated the factors that affect PH prognosis. (2) Methods: we retrospectively enrolled 134 consecutive patients with a PDA diameter ≥10 mm or a ratio of PDA and aortic >0.5. We collected clinical data to explore the factors affecting follow-up PH. (3) Results: 134 patients (mean age 35.04 ± 10.23 years; 98 women) successfully underwent a transcatheter closure, and all patients had a mean pulmonary artery pressure (mPAP) >50 mmHg. Five procedures were deemed to have failed because their mPAP did not decrease, and the patients experienced uncomfortable symptoms after the trial occlusion. The average occluder (pulmonary end) size was almost twice the PDA diameter (22.33 ± 4.81 mm vs. 11.69 ± 2.18 mm). Left ventricular end-diastolic dimension (LVEDD), mPAP, and left ventricular ejection fraction (LVEF) significantly reduced after the occlusion, and LVEF recovered during the follow-up period. In total, 42 of the 78 patients with total pulmonary resistance >4 Wood Units experienced clinical outcomes, and all of them had PH in the follow-up, while 10 of them had heart failure, and 4 were hospitalized again because of PH. The results of a logistic regression analysis revealed that the postoperative mPAP had an independent risk factor (odds ratio = 1.069, 95% confidence interval: 1.003 to 1.140, p = 0.040) with a receiver operating characteristic curve cut-off value of 35.5 mmHg (p < 0.001). (4) Conclusions: performing a transcatheter closure of large patent ductus arteriosus is feasible, and postoperative mPAP was a risk factor that affected the follow-up PH. Patients with a postoperative mPAP >35.5 mmHg should be considered for targeted medical therapy or should undergo right heart catheterization again after the occlusion.

7.
Crit Rev Anal Chem ; 53(5): 955-974, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34752170

RESUMO

As essential neurological chemical messengers, neurotransmitters play an integral role in the maintenance of normal mammalian physiology. Aberrant neurotransmitter activity is associated with a range of neurological conditions including Parkinson's disease, Alzheimer's disease, and Huntington's disease. Many studies to date have tested different approaches to detecting neurotransmitters, yet the detection of these materials within the brain, due to the complex environment of the brain and the rapid metabolism of neurotransmitters, remains challenging and an area of active research. There is a clear need for the development of novel neurotransmitter sensing technologies capable of rapidly and sensitively monitoring specific analytes within the brain without adversely impacting the local microenvironment in which they are implanted. Owing to their excellent sensitivity, portability, ease-of-use, amenability to microprocessing, and low cost, electrochemical sensors methods have been widely studied in the context of neurotransmitter monitoring. The present review, thus, surveys current progress in this research field, discussing developed electrochemical neurotransmitter sensors capable of detecting dopamine (DA), serotonin (5-HT), acetylcholine (Ach), glutamate (Glu), nitric oxide (NO), adenosine (ADO), and so on. Of these technologies, those based on carbon nanostructures-modified electrodes including carbon nanotubes (CNTs), graphene (GR), gaphdiyne (GDY), carbon nanofibers (CNFs), and derivatives thereof hold particular promise owing to their excellent biocompatibility and electrocatalytic performance. The continued development of these and related technologies is, thus, likely to lead to major advances in the clinical diagnosis of neurological diseases and the detection of novel biomarkers thereof.


Assuntos
Técnicas Biossensoriais , Nanoestruturas , Nanotubos de Carbono , Animais , Técnicas Biossensoriais/métodos , Proteínas , Neurotransmissores , Técnicas Eletroquímicas/métodos , Mamíferos
8.
Crit Rev Anal Chem ; : 1-20, 2022 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-36463557

RESUMO

Heavy metals are commonly found in a wide range of environmental settings metals, but the potential toxicity associated with heavy metal exposure represents a major threat to global public health. It is thus vital that approaches to efficiently, reliably, and effectively detecting heavy metals in a range of sample types be established. Carbon nanomaterials offer many advantageous properties that make them well-suited to the design of sensitive, selective, easy-to-operate electrochemical biosensors ideal for detecting heavy metal ions. The present review offers an overview of recent progress in the development of carbon nanomaterial-based electrochemical sensors used to detect heavy metals. In addition to providing a detailed discussion of certain carbon nanomaterials such as carbon nanotubes, graphene, carbon fibers, carbon quantum dots, carbon nanospheres, mesoporous carbon, and Graphdiyne, we survey the challenges and future directions for this field. Overall, the studies discussed herein suggest that the further development of carbon nanomaterial-modified electrochemical sensors will support the integration of increasingly advanced sensor platforms to aid in detecting heavy metals in foods, environmental samples, and other settings, thereby benefitting human health and society as a whole.

9.
Nanomaterials (Basel) ; 12(18)2022 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-36144941

RESUMO

The oxygen evolution reaction (OER) is a crucial reaction in water splitting, metal-air batteries, and other electrochemical conversion technologies. Rationally designed catalysts with rich active sites and high intrinsic activity have been considered as a hopeful strategy to address the sluggish kinetics for OER. However, constructing such active sites in non-noble catalysts still faces grand challenges. To this end, we fabricate a Ni2P@Fe2P core-shell structure with outperforming performance toward OER via chemical transformation of rationally designed Ni-MOF hybrid nanosheets. Specifically, the Ni-MOF nanosheets and their supported Fe-based nanomaterials were in situ transformed into porous Ni2P@Fe2P core-shell nanosheets composed of Ni2P and Fe2P nanodomains in homogenous dispersion via a phosphorization process. When employed as the OER electrocatalyst, the Ni2P@Fe2P core-shell nanosheets exhibits excellent OER performance, with a low overpotential of 238/247 mV to drive 50/100 mA cm-2, a small Tafel slope of 32.91 mV dec-1, as well as outstanding durability, which could be mainly ascribed to the strong electronic interaction between Ni2P and Fe2P nanodomains stabilizing more Ni and Fe atoms with higher valence. These high-valence metal sites promote the generation of high-active Ni/FeOOH to enhance OER activity.

10.
J Thorac Dis ; 14(7): 2461-2471, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35928607

RESUMO

Background: Transcatheter closure of inferior sinus venosus defect (ISVD) is still contraindication. To explore whether transcatheter closure with patent ductus arteriosus (PDA) occluders is possible for ISVD. Methods: From June 2014 to March 2021, 12 patients were recruited diagnosed as <25 mm ISVD. The three-dimensional printing (3DP) heart model was produced based on multi-slice computed tomography (MSCT) scans. Preoperative closure simulation was planned on the personalized 3D model for each patient. Follow-up including electrocardiography (ECG), transthoracic echocardiography (TTE), and X-ray was traced. Results: 3DP models of 12 patients were successfully printed. Twelve patients had been diagnosed with <25 mm ISVD and 4 of them had another secundum atrial septal defect (ASD). All patients were produced interventional therapy successfully. PDA occluder was implanted to closed ISVD, and ASD was closed using ASD occluder simultaneously. The average diameter of ISVD measured by TTE was (12.67±3.80), and the average diameter of sagittal axes and longitudinal axes measured by the 3D-printed model was (17.08±3.20) and (18.42±4.62) mm, respectively. The average size of PDA (diameter of pulmonary artery side) was (28.17±3.35) mm. Compared with the preoperative, the X-ray cardiothoracic ratio (0.51±0.04 vs. 0.47±0.06, P=0.007) and the right ventricle anterior-posterior diameter (31.17±5.65 vs. 24.58±3.75 mm, P<0.001) of postoperative was significantly decreased. During the average (47.75±27.52) months follow-up, it has achieved satisfying results, and there were no severe adverse events such as device transposition, death, and pericardial tamponade occurred. Conclusions: Assisting by 3D heart model, transcatheter closure of ISVD with PDA occluder had an excellent outcome. This method provides a new considerable treatment strategy for ISVD.

11.
Nanomaterials (Basel) ; 12(13)2022 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-35808051

RESUMO

The oxygen evolution reaction (OER) occurs at the anode in numerous electrochemical reactions and plays an important role due to the nature of proton-coupled electron transfer. However, the high voltage requirement and low stability of the OER dramatically limits the total energy converting efficiency. Recently, electrocatalysts based on multi-metal oxyhydroxides have been reported as excellent substitutes for commercial noble metal catalysts due to their outstanding OER activities. However, normal synthesis routes lead to either the encapsulation of excessively active sites or aggregation during the electrolysis. To this end, we design a novel core-shell structure integrating CoMoO4 as support frameworks covered with two-dimensional γ-FeOOH nanosheets on the surface. By involving CoMoO4, the electrochemically active surface area is significantly enhanced. Additionally, Co atoms immerge into the γ-FeOOH nanosheet, tuning its electronic structure and providing additional active sites. More importantly, the catalysts exhibit excellent OER catalytic performance, reducing overpotentials to merely 243.1 mV a versus 10 mA cm-2. The current strategy contributes to advancing the frontiers of new types of OER electrocatalysts by applying a proper support as a multi-functional platform.

12.
Front Cardiovasc Med ; 8: 797905, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35083302

RESUMO

Background: There have been marked advances in devices such as Amplatzer Duct Occluder II (ADO-II) or vascular plug through 5Fr delivery sheath for closure of patent ductus arteriosus (PDA) in the past five decades, making it possible for cardiologists to deliver occluders via different approaches. However, comparisons of these different approaches have not been reported. Therefore, the aim of this study was to summarize and compare the advantages of different approaches for PDA closure, and to guide clinical strategies. Methods: This retrospective study included all patients undergoing transcatheter closure of PDA from 2019 to 2020. Patients were matched by 1:1 propensity score matching (PSM). The retrograde femoral artery approach (FAA) and simple vein approach (SVA) groups were compared with the conventional arteriovenous approach (CAA). Results: The average age of the 476 patients was 21.05 ± 21.15 years. Their average weight was 38.23 ± 24.1 kg and average height was 130.14 ± 34.45 cm. The mean diameter of the PDA was 4.29 ± 2.25 mm. There were 127 men and 349 women, comprising 205 adults and 271 children. Among them, 197 patients underwent CAA, 223 underwent SVA, and 56 underwent retrograde FAA. The diameter in the FAA group was smaller than that in the other two groups, but was similar in adults and children. In the PSM comparison of CAA and SVA, 136 patients with CAA and 136 patients with SVA were recruited. Simple vein approach was associated with markedly reduced length of hospital stay, length of operation, and contrast medium usage as compared with CAA (all P < 0.05). In the PSM comparison of FAA and CAA, 30 patients with CAA and 30 patients with FAA were recruited. The operation duration was longer in the CAA than in the FAA group. There were no significant differences in postoperative complications among groups. Conclusion: Patent ductus arteriosus closure by using the SVA and FAA is safe and effective, and has certain advantages in some respects as compared with CAA.

13.
JACC Cardiovasc Interv ; 13(17): 2024-2034, 2020 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-32800498

RESUMO

OBJECTIVES: This study was conducted to investigate the combined use of fenestrated atrial septal occluder (F-ASO) and targeted medical therapy (TMT) in patients with secundum atrial septal defect (ASD) and severe pulmonary arterial hypertension (PAH). BACKGROUND: Treatment of patients with ASD and severe PAH is still challenging. METHODS: After ethical approval was obtained, 56 consecutive patients with ASD with severe PAH were included (7 men, 49 women; median age 50.5 years; mean ASD size 26.9 ± 4.6 mm). After 3 months of TMT, transcatheter closure was performed using F-ASO in patients with ratios of pulmonary to systemic blood flow ≥1.5. TMT was continued post-operatively together with 6 months of dual-antiplatelet therapy. The hemodynamic variables during baseline, TMT alone, and combined treatment with F-ASO were compared. RESULTS: After only TMT, systolic pulmonary arterial pressure (-14.5 mm Hg; p < 0.001), pulmonary vascular resistance (-3.9 Wood units; p < 0.001), and exercise capacity (+72.0 m; p < 0.001) improved. Ratio of pulmonary to systemic blood flow increased by 0.9 (p < 0.001), with adverse cardiac remodeling (right ventricular dimension +3.5 mm; p < 0.001). Closure with F-ASO (median size 34.0 mm) led to further decrease in systolic pulmonary artery pressure (-6.0 mm Hg; p < 0.001). Follow-up (median duration 10 months) revealed further improvement in exercise capacity (+60.5 m; p < 0.001), with favorable cardiac remodeling (right ventricular dimension -9.9 mm; p < 0.001). In addition, all fenestrations were stable (p = 0.699), with negligible shunt (median ratio of pulmonary to systemic blood flow 1.1) and no complications. One year later, pulmonary artery pressure was normalized in 8 of 19 patients, and PAH recurred in 5 patients after discontinuation of TMT. CONCLUSIONS: In patients with ASD and severe PAH, combination of F-ASO and TMT was a safe and effective procedure. Compared with TMT alone, the combined treatment further improved exercise capacity, with favorable cardiac remodeling.


Assuntos
Anti-Hipertensivos/uso terapêutico , Cateterismo Cardíaco/instrumentação , Comunicação Interatrial/terapia , Hipertensão Arterial Pulmonar/tratamento farmacológico , Dispositivo para Oclusão Septal , Adulto , Anti-Hipertensivos/efeitos adversos , Cateterismo Cardíaco/efeitos adversos , Tolerância ao Exercício/efeitos dos fármacos , Feminino , Comunicação Interatrial/diagnóstico por imagem , Comunicação Interatrial/fisiopatologia , Hemodinâmica/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-Idade , Hipertensão Arterial Pulmonar/diagnóstico , Hipertensão Arterial Pulmonar/fisiopatologia , Recuperação de Função Fisiológica , Índice de Gravidade de Doença , Fatores de Tempo , Resultado do Tratamento , Remodelação Ventricular/efeitos dos fármacos
14.
J Colloid Interface Sci ; 554: 202-209, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31301520

RESUMO

The electrochemical splitting of water provides an attractive method for the production of hydrogen fuels. Unfortunately, the slow kinetics of oxygen evolution (OER) on the anode side of the electrolyzer hinders the efficient and large-scale hydrogen production. In this study, starting from metal-organic frameworks (MOFs), a series of bimetal phosphides CoxFe1-xP (x = 0.33, 0.50, 0.66, 0.75 and 0.80) were synthesized by low-temperature phosphidiation of corresponding MOFs precursors. The as-prepared samples were characterized by scanning electron microscopy (SEM), transmission electron microscopy (TEM), X-ray powder diffraction (XRD) and X-ray photoelectron spectroscopy (XPS). Studies indicate that the proportion of cobalt and iron elements make a big differences on the structure of the materials. Benefiting from the porous structure and large specific area of the MOFs precursors, as well as the synergistic effect between Co and Fe elements, the as-synthesized Co0.66Fe0.33P shows superior electrocatalytic performances and outstanding stability toward OER in alkaline solution.

15.
J Thorac Cardiovasc Surg ; 157(4): 1603-1608, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30712912

RESUMO

OBJECTIVE: Transcatheter closure is usually contraindicated in secundum atrial septal defect with no rim to right pulmonary vein. The morphology of an atrial septal defect is special in these patients, and the off-label use of a duct occluder might make transcatheter closure possible with the assistance of a personalized heart model. However, the related data are absent. This study was performed to investigate the off-label use of a duct occluder in the transcatheter closure of an atrial septal defect with no right pulmonary vein rim. METHODS: Seven consecutive patients with an atrial septal defect (2 male/5 female; 40.1 ± 15.2 years) with no right pulmonary vein rim were referred for attempted transcatheter closure, and a personalized heart model was produced on the basis of multislice computed tomography images. With the elastic heart model, in vitro trial occlusion was performed with a duct occluder for preoperative evaluation, and the results were compared with postoperative outcomes. RESULTS: A single atrial septal defect was identified in 6 patients, and a double atrial septal defect was identified in another patient (1 atrial septal defect with no right pulmonary vein rim and 1 with sufficient surrounding rims). The size of the atrial septal defect was 13.4 ± 2.2 mm, and the in vitro balloon-stretched diameter was 20.2 ± 3.2 mm in the heart model. In vitro trial occlusion was achieved in all patients, and subsequent in vivo transcatheter closure was performed successfully with the duct occluder of the same size (24.3 ± 3.1 mm). During follow-up (1.57 ± 0.84 years), mild pericardial effusion was identified in 2 patients and disappeared within 3 months. No other complications occurred. CONCLUSIONS: By using a personalized heart model, the off-label use of a duct occluder is feasible and safe in the transcatheter closure of an atrial septal defect with no right pulmonary vein rim. Further research is required to evaluate the long-term outcomes.


Assuntos
Cateterismo Cardíaco/instrumentação , Comunicação Interatrial/terapia , Dispositivo para Oclusão Septal , Adulto , Cateterismo Cardíaco/efeitos adversos , Criança , Tomada de Decisão Clínica , Estudos de Viabilidade , Feminino , Comunicação Interatrial/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Anatômicos , Modelos Cardiovasculares , Tomografia Computadorizada Multidetectores , Seleção de Pacientes , Modelagem Computacional Específica para o Paciente , Impressão Tridimensional , Desenho de Prótese , Resultado do Tratamento
16.
Catheter Cardiovasc Interv ; 92(7): 1309-1314, 2018 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-30251437

RESUMO

OBJECTIVE: Though successful transcatheter closure has been reported in secundum atrial septal defect (ASD) with deficient posterior-inferior rim, it is still difficult to screen the appropriate candidates. Three-dimensional printing (3DP) makes in vitro trial occlusion possible, and might provide a feasible method in the prediction of successful closure. METHODS: Thirty-five consecutive ASD patients (10M/25F, age, 47.7 ± 11.8 years) with deficient posterior-inferior rim (≤3 mm) were referred for attempted transcatheter closure, and personalized heart model (elastic rubber) was produced based on end-systolic MSCT images. The in vitro measurement and trial occlusion were performed for preoperative evaluation (in vitro successful/unsuccessful group), and the results were compared with postoperative outcomes. RESULTS: Successful in vitro occlusion was achieved in 30 patients (7M/23F), and the size of ASD was 27.1 ± 4.4 mm. The posterior-inferior rim was 0.95 ± 1.22 mm (rim defect in 17 patients), and 12 patients were associated with aortic rim deficiency. The subsequent transcatheter closure was performed successfully in 29 patients, and the occluder-diameter was identical to that of in vitro occlusion (35.0 ± 4.4 mm). The follow-up (1.4 ± 0.58 years) showed no residual shunt and related-complications. In unsuccessful in vitro group (n = 5), the range of rim deficiency was wider (P = 0.019) and the rim to inferior vena cava was shorter (4.60 ± 2.07 mm vs. 10.71 ± 5.28 mm, P = 0.016). Furthermore, transcatheter closure failed in all patients. CONCLUSIONS: In ASD with deficient posterior-inferior rim, 3DP allows accurate determination of the size and surrounding rims of ASD. Based on personalized heart model, in vitro trial occlusion is an effective method to identify the appropriate candidates for transcatheter closure.


Assuntos
Cateterismo Cardíaco , Comunicação Interatrial/terapia , Modelagem Computacional Específica para o Paciente , Impressão Tridimensional , Adulto , Cateterismo Cardíaco/efeitos adversos , Tomada de Decisão Clínica , Feminino , Comunicação Interatrial/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Anatômicos , Modelos Cardiovasculares , Tomografia Computadorizada Multidetectores , Seleção de Pacientes , Valor Preditivo dos Testes , Resultado do Tratamento
17.
Inorg Chem ; 57(16): 10287-10294, 2018 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-30088762

RESUMO

Metal-organic framework-based supercapacitors have been widely recognized as the best energy storage devices for future portable electronic equipment. Herein, CoP- T ( T = 300, 350, and 400 °C) microcubes with a solid and hollow microstructure were successfully synthesized by low-temperature phosphorization of [CH3NH3][Co(HCOO)3] precursor at desired temperatures. The morphology, structure, and composition of the prepared CoP-350 °C samples were analyzed by scanning electron microscopy, transmission electron microscopy, and X-ray photoelectron spectroscopy. Hollow CoP-350 °C microcube has a larger specific surface area (25.9 m2 g-1) than that of solid ones (16.1 m2 g-1). When the two samples were used as electrode raw materials for supercapacitors, the hollow CoP-350 °C electrode exhibits better electrochemical performance (560 F g-1) than that of the solid one (427.6 F g-1) at a current density of 1 A g-1. The enhanced supercapacitor properties may be attributed to the large surface area and the unique hollow structure. Further, an asymmetric supercapacitor was prepared by employing the hollow CoP-350 °C microcubes as anode and N-doped graphene as cathode. It has a high rate capability (capacitance retention of 69% from 0.5 to 8 A g-1), a high energy density (21.4 W h kg-1 at a power density of 373 W kg-1), and outstanding cycling stability (remained 81.2% after 6000 cycles).

18.
RSC Adv ; 8(44): 24805-24811, 2018 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-35542153

RESUMO

Metal-organic framework (MOF)-based derivatives with uniform micro/mesoporous structures have attracted a great deal of interest in various research fields. Herein, we report a simple strategy to design functional mesoporous ternary metal oxides with controlled composition through direct pyrolysis of Co/Cu bimetal-formate frameworks (Co/Cu-MFFs), which were prepared by a facile one-step liquid-phase precipitation method, exhibiting uniform distribution of two different metal species and good structural integrity. The obtained mesoporous ternary metal oxide Cu x Co3-x O4 (x = 0.5, 1) microcubes exhibit much better performance for CO oxidation than pure Co3O4, which can be mainly attributed to their larger specific surface areas, stronger reducibility, and the synergistic effect of two active metal oxide components.

20.
Pediatr Cardiol ; 34(8): 1998-2002, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23124386

RESUMO

Congenital atresia of the left main coronary artery (LMCA) is an extremely rare cardiac anomaly, and no cases have been reported from the mainland of China. The diagnosis for the 20-month-old boy in the reported case highlights the essentiality of comprehensive diagnostic measures. To avoid a misdiagnosis, electrocardiographic and echocardiographic evidence should be vigilantly explored in young children suspected of having dilated cardiomyopathy. This is the first case report of LMCA atresia associated with noncompaction of the left ventricular myocardium.


Assuntos
Anormalidades Múltiplas , Cardiomiopatia Dilatada/congênito , Anomalias dos Vasos Coronários/diagnóstico , Ventrículos do Coração/anormalidades , Cardiomiopatia Dilatada/diagnóstico , Angiografia Coronária , Diagnóstico Diferencial , Ecocardiografia Doppler em Cores , Eletrocardiografia , Humanos , Lactente , Masculino
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